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中华老年骨科与康复电子杂志 ›› 2024, Vol. 10 ›› Issue (03) : 178 -183. doi: 10.3877/cma.j.issn.2096-0263.2024.03.009

综述

点接触固定器的发展
张一凡1, 姚孟轩1, 王海程1, 张宇钦2, 史泰龙2, 吕红芝2, 秦士吉2,()   
  1. 1. 050051 石家庄,河北医科大学第三医院创伤急救中心;河北省骨科研究所;河北省骨科生物力学重点实验室
    2. 050051 石家庄,河北医科大学第三医院创伤急救中心;河北省骨科研究所
  • 收稿日期:2023-05-27 出版日期:2024-06-05
  • 通信作者: 秦士吉
  • 基金资助:
    河北省自然科学基金(2021206317)

Development of Point Contact Fixator

Yifan Zhang1, Mengxuan Yao1, Haicheng Wang1, Yuqin Zhang2, Tailong Shi2, Hongzhi Lue2, Shiji Qin2,()   

  1. 1. Department of Trauma center, the Third Hospital of Hebei Medical University; Hebei Orthopaedic Research Institute; Hebei Key Laboratory of Orthopaedic Biomechanics, Shijiazhuang 050051, China
    2. Department of Trauma center, the Third Hospital of Hebei Medical University; Hebei Orthopaedic Research Institute
  • Received:2023-05-27 Published:2024-06-05
  • Corresponding author: Shiji Qin
引用本文:

张一凡, 姚孟轩, 王海程, 张宇钦, 史泰龙, 吕红芝, 秦士吉. 点接触固定器的发展[J]. 中华老年骨科与康复电子杂志, 2024, 10(03): 178-183.

Yifan Zhang, Mengxuan Yao, Haicheng Wang, Yuqin Zhang, Tailong Shi, Hongzhi Lue, Shiji Qin. Development of Point Contact Fixator[J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2024, 10(03): 178-183.

在骨折治疗领域,点接触固定器(PC-Fix)是一种备受关注的新型内固定方法,它的出现彻底颠覆了传统骨折内固定方法的理念和方式。PC-Fix是早在20世纪90年代被Perren教授及其团队设计研发,其主要特点有点接触和锁定固定两个方面,其目的主要是为了保护骨折区域血运。PC-Fix解决了传统加压钢板与骨接触所造成的血运损伤以及应力遮挡问题,固定方式也由"加压固定"改为"锁定固定",是锁定钢板的雏形。并且PC-Fix在保护血运和骨折固定稳定性方面的优异性,在动物实验和临床研究中也都得到了验证。本篇综述回顾PC-Fix的研发历史,总结PC-Fix的设计特点,以期为未来内固定系统的设计提供思路与借鉴。

In the field of fracture treatment, the Point Contact Fixator (PC-Fix) is a novel internal fixation method that has attracted much attention, completely overturning the concept and approach of traditional fracture internal fixation methods. PC-Fix was designed and developed by Professor Perren and his team as early as the 1990s, and its main features are point contact and locked fixation, with the aim of protecting the blood supply in the fracture area. PC-Fix solves the problems of blood supply damage caused by traditional compression plates in contact with bone and stress shielding, and the fixation method has changed from "compression fixation" to "locked fixation", which is the prototype of locked plates. Moreover, PC-Fix has been verified to have excellent performance in protecting blood supply and fracture fixation stability in both animal experiments and clinical research. This review retrospectively examines the development history of PC-Fix, summarizes its design features, and aims to provide ideas and references for the design of future internal fixation systems.

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